Cited by 102Bone health and osteoporosis researchMenopause: Health Impacts and TreatmentsBone Metabolism and Diseases

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Depression and low bone mineral density: a meta-analysis of epidemiologic studies

Wu, Q., Magnus, J. H., Liu, J., Bencaz, A. F., Hentz, J. G.·2009·Osteoporosis International

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Abstract

Summary The association between depression and loss of bone mineral density (BMD) has been reported inconsistently. This meta-analysis, which pooled results from 14 qualifying individual studies, found that depression was associated with a significantly decreased BMD, with a substantially greater BMD decrease in depressed women and in cases of clinical depression.Introduction The reported association between depression and loss of BMD has been controversial. This meta-analysis was conducted to determine whether depression and BMD are associated and to identify the variation in some subgroups.Methods English-language articles published before October 2008 were used as the data source. A total of six case-controlled and eight cross-sectional studies met prestated inclusion criteria (N = 10,523). Information on study design, participant characteristics, measurements of BMD and depression, and control for potential confounders was abstracted independently by two investigators using a standardized protocol.Results Overall, depression was associated with a significant decrease in mean BMD of spine (-0.053 g/cm(2) [95% confidence interval {CI} -0.087 to -0.018 g/cm(2)]) and hip (-0.052 g/cm(2) [95% CI -0.083 to -0.022 g/cm(2)]). A substantially greater BMD decrease was observed in depressed women (-0.076 g/cm(2) in spine; -0.059 g/cm(2) in hip) and in cases of clinical depression (-0.074 g/cm(2) in spine; -0.080 g/cm(2) in hip).Conclusion Depression is associated with low BMD, with a substantially greater BMD decrease in depressed women and in cases of clinical depression. Depression should be considered as an important risk factor for osteoporosis.

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Authors: Wu, Q., Magnus, J. H., Liu, J., Bencaz, A. F., & Hentz, J. G.
Affiliations: Mayo Clinic (US)
Tulane University (US)
Northern Arizona University (US)
Corresponding author: Wu, Q.
ORCID: Wu, Q.
Magnus, J. H.
Hentz, J. G.
Venue: Osteoporosis International
Publisher: Springer Science and Business Media LLC
Published: 2009-04-03
Volume: 20
Issue: 8
Pages: 1309-1320
ISSN: 0937-941X (ISSN-L)
1433-2965
DOI: 10.1007/s00198-009-0918-x
OpenAlex: W2055157541
Cited by: 102
References: 62
Citations by year: 2026: 3 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 8 · 2018: 5 · 2017: 4 · 2016: 9 · 2015: 8 · 2014: 8 · 2013: 7 · 2012: 6
FWCI: 1.32
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Osteoporosis International (publishedVersion)
PubMed (publishedVersion)
Digital Scholarship - UNLV (University of Nevada Reno) (submittedVersion)
Topics: Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
Keywords: depression, bone mineral density, osteoporosis, bone loss, women, major depressive disorder, spine, hip, risk factors
MeSH terms: Adult, Aged, Depressive Disorder, Female, Hip Joint, Humans, Male, Middle Aged, Osteoporosis, Research Design, Sensitivity and Specificity, Spine, Bone Density, Publication Bias

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Depression and low bone mineral density: a meta-analysis of epidemiologic studies

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